| NPI | 1083998751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 351215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648680) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-09-25 |